Legend Oaks - West San Antonio

    222 Bertetti Dr, San Antonio, TX 78227
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Immaculate, compassionate staff and rehab

    I'm very pleased with Legend Oaks - the facility is immaculate, home-like and secure. The staff were compassionate, patient and knowledgeable (Monica the DON, nurses like Rosie, caregivers Grace and Consuela, night aide Angel and receptionist Velma stood out), and the rehab team helped my loved one regain strength quickly. Communication was clear, meds/meals/baths were handled professionally, and I feel confident recommending this place.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.19·(215)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.9
    • Staff

      4.2
    • Meals

      3.9
    • Amenities

      3.8
    • Value

      2.0

    Pros

    • smooth admission process with clear financial explanations
    • knowledgeable and accessible admissions and administrative staff
    • strong, effective rehabilitation program (physical/occupational/speech therapy)
    • compassionate and attentive nursing and CNA care
    • helpful and engaged social work and case-management support
    • varied activities program (exercise, socials, games, arts crafts, music)
    • well-maintained interior and attractive grounds
    • clean, comfortable private rooms available
    • on-site amenities (beauty salon, library, courtyard)
    • reliable housekeeping and maintenance services
    • successful transitions to home following rehab
    • language accommodation and culturally respectful staff
    • secure visitor screening and welcoming front-desk

    Cons

    • inconsistent clinical coordination between nursing, CNAs, and therapy
    • variable responsiveness to call bells and urgent needs
    • wound-care and post-surgical management inconsistencies
    • medication-administration lapses
    • uneven cleanliness and sanitation across units
    • inconsistent dining quality and meal delivery
    • staffing shortages and scheduling gaps
    • poor family communication and discharge-planning practices
    • misplacement and mishandling of personal belongings
    • visitation and access policy inconsistencies
    • insufficient management presence and shift oversight
    • inconsistent adherence to consent and advance-directive communication

    Summary of reviews

    Overall impression: Reviews present a polarized picture. Many families and residents describe a modern, well-kept facility with a strong rehabilitation focus and a large number of staff who are described as caring, knowledgeable, and accessible. At the same time, there is a recurring set of operational concerns that indicate variability in day-to-day clinical execution and communication.

    Care quality: The facility’s rehabilitation services are a frequent strength — reviewers commonly cite effective PT/OT/speech therapy that helped residents regain function and return home. Nursing and CNA care are often described as compassionate and attentive, with multiple mentions of specific staff who provided consistent support. Conversely, several accounts raise concerns about clinical consistency: wound-care follow-up, post-surgical pain control, and medication administration are areas where outcomes appear uneven. There are also descriptions of delays attending to call-button requests and inconsistencies in incontinence-related care and bathing schedules, indicating variability in responsiveness across shifts.

    Staff and case management: Admissions staff, social workers, and some members of administration receive positive mentions for being communicative and helpful, and for facilitating smooth transitions from hospital to facility. However, reviewers also describe gaps in staffing levels, scheduling, and day-shift/night-shift oversight. Case-management performance is mixed: some families found social workers to be strong advocates, while others experienced limited advocacy or poor coordination around discharge planning and physician communication. The pattern suggests that care experience may depend on specific teams or shifts.

    Dining and activities: The activities program is an institutional strength — a broad range of programming (group exercise, games, socials, music, arts and crafts, birthday events, and faith accommodations) is described frequently and appears to support resident engagement. Dining impressions are mixed: some families praise the food and menu variety, while others describe inconsistent meal quality and handling practices. Prospective residents should ask about current meal plans and accommodations for special diets.

    Facilities and amenities: The building, grounds, and many resident rooms are consistently described as clean, modern, and well maintained, with useful amenities such as a beauty salon, library, courtyard, and private-room options. At the same time, several reviewers noted uneven cleanliness between units, occasional odor concerns in common areas, and intermittent maintenance issues (room temperature controls, TVs, or common-area lighting) that suggest patchy environmental consistency.

    Management, communication, and notable patterns: Admission and intake procedures are often smooth and well communicated; the admissions team and front desk are repeatedly highlighted. Yet there is a countervailing pattern of communication breakdowns around scheduling, family notification for transfers or discharges, and misplaced personal items. There are also isolated but serious allegations involving restrictive visitor practices and failures in consent/advance-directive communication; these individual claims merit follow-up with the facility and, if applicable, the resident’s legal representative. Overall, the dominant pattern is one of pronounced variability: when staffing, clinical coordination, and management presence align, residents and families report positive rehabilitation outcomes and a family-like atmosphere. When those elements are inconsistent, families report significant care, communication, and sanitation concerns.

    Recommendation: Prospective residents and families should weigh the facility’s clear rehabilitation strengths and robust activities against the documented inconsistencies in clinical coordination, responsiveness, and communication. Practical due diligence items include asking about current staffing ratios, wound-care and medication protocols, call-button response times, discharge-communication procedures, and how the facility escalates and documents concerns. A short observational visit during different shifts may help assess whether the facility’s operational consistency meets the prospective resident’s needs.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Legend Oaks - West San Antonio

    Legend Oaks - West San Antonio is located at 222 Bertetti Dr, San Antonio, TX, 78227.

    About Legend Oaks - West San Antonio

    Legend Oaks Healthcare and Rehabilitation - West San Antonio sits in San Antonio, Texas, and has been providing skilled nursing and rehabilitation services since 1990. The facility holds 124 certified beds, with about 106 residents living there on an average day, and aims to provide care in a setting that tries to feel like home, with private and semi-private room choices available. The staff delivers about 3.39 nursing hours per resident each day, just under the state average, while keeping nurse turnover lower than usual at 34.2%. Management has included Bertetti Healthcare, Inc. since April 2017, along with Soon Burnam, Robert Gray, and Troy Hendriksen at different times. Legend Oaks is part of The Ensign Group and operates as a for-profit community.

    Residents have access to a dentist, a podiatrist, doctors and nurses on call, as well as in-house physical, occupational, and speech therapy. There are skilled professionals on staff who provide short-term rehab, long-term care, hospice, and respite services, with nurses around 24 hours a day. Staff tries to help residents and families with daily needs, provides meals, housekeeping, laundry, and controls for privacy and safety, although some inspection reports did find issues with infection control, resident rights, and communication privacy. Legend Oaks keeps regular activities, like arts, music, educational programs, wellness sessions, and devotions, plus offers outdoor and indoor spaces for social events. There's a beauty and barber shop, wheelchair accessible showers, well landscaped grounds, and rooms that offer space and comfort for residents.

    They have trained staff members who work to build personalized care plans in cooperation with patients and families, aiming to support health, rehabilitation, and more independence when possible. Both men and women receive care, with the goal of helping everyone feel safe and engaged. A unique feature at this location is the Music & Memory® Certified Care Organization, which can help some residents connect through music. The facility does report 11 deficiencies, which include issues with infection and resident rights, but continues to provide services and activities that many residents and their families use to stay as comfortable and involved as possible. The overall rating reported is 2.8 from 53 reviews, placing Legend Oaks around the middle for community opinions. The facility accepts Medicare and most insurance plans, and stays open around the clock for residents' needs.

    People often ask...

    Legend Oaks - West San Antonio offers assisted living, memory care, and skilled nursing.

    There are 37 photos of Legend Oaks - West San Antonio on Mirador.

    The full address for this community is 222 Bertetti Dr, San Antonio, TX 78227.

    No, Legend Oaks - West San Antonio does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Legend Oaks - West San Antonio. The information above has not been verified or approved by the owner or operator. For exact information, please contact Legend Oaks - West San Antonio directly. There is no cost for this service. We are compensated by the community you select.

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